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Home My WebLink AboutBLDP-22-002213 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK lk, s CITY YARMOUTH MA DATE 10/19/21 PERMIT# BLDP-22-002213 JOBSITE ADDRESS 31 KENNEDY LN OWNER'S NAME KRUMINS VALDIS I CO-TRS .P OWNER ADDRESS C/O NIKULA ROBERT R 31 KENNEDY LN WEST YARMOUTH,MA 02673 TEL TYPE OR OCCUPANCY TYPE COMMERCIAL El RESIDENTIAL El PRINT CLEARLY NEW: ❑ RENOVATION:El REPLACEMENT:❑ PLANS SUBMITTED: YES El NO El FIXTURFS I FLOORS BSM 1 2 3 4 5 6 7 8 9 10 1 11 _ 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OIL/SAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTE DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAIN INTERCEPTOR(INTERIOR) KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL SERVICE/MOP SINK TOILET URINAL WASHING MACHINE CONNECTION WATER HEATER 1 WATER PIPING OTHER OTHER DESCRIPTION: INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES❑ NO ❑ IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY El OTHER TYPE OF INDEMNITY❑ BOND❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER'S NAME Alex Braga LICENSE#5668 SIGNATURE MP El JP El CORPORATION ❑# PARTNERSHIP ❑# LLC ❑# COMPANY NAME BRAGA BROTHERS HEATING, ADDRESS 110 Breeds Hill Rd, Unit 5 PI I IMRING AM-)AIR CITY Hyannis CONDITIONING STATE MA ZIP 02601 TEL 5088274260 FAX CELL 7744870199 EMAIL bragabros@comcast.net ROL GH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVE AS THE ❑ ❑ FEES S PERMIT# PLAN REVIEW NOTES ;,''\ MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK tk 7 _ CITY [Town of Yarmouth MA DATE [ 10/13/2021 PERMIT # Lz-- z 2- i 3 JOBSITE ADDRESS '31 Kennedy Lane 1 OWNER'S NAME(( Ryan Nikula POWNER ADDRESS 31 Kennedy Lane 1 TELL FAX TYPE OR OCCUPANCY TYPE COMMERCIAL H EDUCATIONAL Li RESIDENTIAL r PRINT _ CLEARLY NEW: L_ RENOVATION: 1-_ REPLACEMENT: (, X PLANS SUBMITTED: YES I _ NOLA , FIXTURES 1 FLOOR BSM 1 2 3 4 5 6gel 8 9 10 11 12 13 1 14 BATHTUB i } __ r _ ! CROSS CONNECTION DEVICE ,� j j I; I TE DEDICAD SPECIAL. WASTE SYSTEM F mLm,-- z'- v , _ _� DEDICATED GAS/OIL'SAND SYSTEM 1' I _ DEDICATED GREASE SYSTEM 1111111111111.1111111 ling _.-.__.....__ . + _ _ : DEDICATED GRAY WATER SYSTEM t-_-_---,�1Mi�' i i', T _ ; - �I --;-r-- DEDICATED WATER RECYCLE SYSTEM � _ F ._____..�,____-_1r-- s _ DISHWASHER I i. v DRINKING FOUNTAIN I }' f. _ . Sr All- FOOD DISPOSER ( I I rINN FLOOR /AREA DRAIN i - 3,. E 111111111111 INTERCEPTOR (INTERIOR) r KITCHEN SINK z ,j <, `r. allii LAVATORY ROOF DRAIN SHOWER STALL j l ,. �_ EF SERVICE I MOP SINK i I Jri TOILET , . 11.111111111111M, URINAL IL 1IIMI ' , 1 F_ 1 ---------- WASHING MACHINE CONNECTION : ` ' I . WATER HEATER ALL TYPES X : �� f � _ _1� ..... __ _ WATER PIPING .... , --- --.�- ..11101111 -_ :; �M __ __ iii.: OTHER �'� MI 'IIIIIL , _ ____ __ ___ __________ ___ lag I - INSURANCE COVERAGE: - I have a current Iiability_insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES LJ NO E , IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY H OTHER TYPE OF INDEMNITY [j BOND ..._:I OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. CHECK ONE ONLY: C WNER AGENT a SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true . ccur. e to .- of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in c:ompli i _. + ith /46P et pr ision of the I Massachusetts State Plumbing Code and Chapter 142 of the General Laws. / l I PLUMBER'S NAME [ALEX BRAGA j LICENSE # [15668 I SIGNATURE - MPLI JP CORPORATION 0#16-18 1PARTNERSHIPLI# ILLCLJ#[ 1 COMPANY NAME', BRAGA BROS. INC. ----7. IADDRESS 110 BREEDS HILL ROAD UNIT 5 CITY[HYANN.IS I STATE r-M-A-1 ZIP 102601 _._1 TEL k5o8) 82726o ....:j FAX 508 957-2960 1 CELL [ 74 487-0199 . EMAIL {bgabroscorncast.net